Individual
ABDUL M YOUSUFZAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14608 THERA WAY, CENTREVILLE, VA 20120-3451
(703) 286-9878
Mailing address
14608 THERA WAY, CENTREVILLE, VA 20120-3451
(703) 286-9878
(703) 815-1459
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000309
VA
106S00000X
Behavior Technician
RBT-19-83448
VA
Other
Enumeration date
09/10/2019
Last updated
09/21/2021
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